Organization
WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ENRIQUE MENDOZA DC (CHIROPRACTOR)
(516) 213-4610
Entity
Organization
Contact information
Practice address
31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
(516) 213-4610
(516) 213-4819
Mailing address
31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
(516) 213-4610
(516) 213-4819
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
010611
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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